Physician
Mariwalla, Rajesh
Mariwalla, Rajesh was paid $240K by Medicaid between Jan 2018 and Jul 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoMARIWALLA, RAJESH
WEST ISLIP, NY 11795
WEST ISLIP, NY 11795
33aNPI1740378629assigned 10/10/2006
33bProvider typePediatrics Physician
28Total paid$240K
24GClaims8,734
24DCodes billed25
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#554 of 1,983
Median peer was paid$17K
This provider vs. median14×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 483 | $21K | |
| 2019 | 816 | $18K | |
| 2020 | 2,031 | $37K | |
| 2021 | 1,328 | $33K | |
| 2022 | 1,315 | $41K | |
| 2023 | 1,286 | $46K | |
| 2024incomplete | 1,475 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 60% | 2,967 | 2,724 | $143K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15% | 1,077 | 1,072 | $36K |
| 87428 | 5.6% | 325 | 320 | $14K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3.8% | 133 | 131 | $9K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.6% | 107 | 107 | $6K |
| 92551 | 2.0% | 629 | 628 | $5K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 58 | 58 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 52 | 52 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.4% | 511 | 506 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 426 | 414 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 43 | 42 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.0% | 37 | 37 | $2K |
13 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 99 | $2K |
| 81000 | <1% | 419 | $944.68 | |
| 99402 | <1% | 268 | $895.75 | |
| 87081 | <1% | 250 | $806.38 | |
| 87184 | <1% | 243 | $659.77 | |
| 99173 | <1% | 358 | $597.55 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 13 | $311.90 |
| 81003 | <1% | 193 | $294.47 | |
| 90461 | <1% | 13 | $235.45 | |
| 96160 | <1% | 84 | $148.17 | |
| 99401 | <1% | 267 | $62.50 | |
| 99000 | <1% | 147 | $3.35 | |
| 99072 | 0% | 15 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.